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<title>.:CineNeptuno:.</title>
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<table width="200" border="0"  cellpadding="0" cellspacing="0" align="center">
  <tr>
    <td height="359"><p><img src="images/cabecera.jpg" width="766" height="358" /></p></td>
 <tr>
   
  </tr>
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        <td>&nbsp;</td>
      </tr>
    </table></td>
  </tr>
  <tr> <td><!-- InstanceBeginEditable name="EditRegion1" -->
    <p><table width="100%" border="1" bgcolor="#ffffff" background="images/1.jpg">
    <tr>
      <td height="38"><p class="CE"><span class="cc">Bienvenido a CineNeptuno</span><br /></td></tr>
      <tr>
        <td height="344" align="center"><p>&nbsp;</p>
          <TABLE  border=0 cellSpacing=0 cellPadding=0 width=852>
                          <TBODY>
                          <TR>
                            <TD width=374 height="340" vAlign=top><TABLE class=text_blanco_sta border=0 
                              cellSpacing=0 cellPadding=0 width=369>
                              <TBODY>
                                <TR>
                                <TD height=25 align=right class="do">DNI</TD>
                                <TD align=left>&nbsp;</TD>
                                <TD align=left><input id=txtdni 
                                class=nc_texto_negro size=37 type=text 
                                name=txtdni /></TD></TR>
                                <TR>
                                <TD class="do"></TD>
                                <TD></TD>
                                <TD align=left></TD></TR>
                                <TR>
                                <TD height=25 align=right class="do">Nombres</TD>
                                <TD align=left>&nbsp;</TD>
                                <TD align=left><input id=txtnombre 
                                class=nc_texto_negro size=37 type=text 
                                name=txtnombre /></TD></TR>
                                <TR>
                                <TD height=25 align=right class="do">Apellido Paterno</TD>
                                <TD align=left>&nbsp;</TD>
                                <TD align=left><input id=txtpaterno 
                                class=nc_texto_negro size=37 type=text 
                                name=txtpaterno /></TD></TR>
                                <TR>
                                <TD height=15 align="right" class="do">Apellido Materno</TD>
                                <TD align=left></TD>
                                <TD class=f_txt_blanco align=left><input id=txtmaterno 
                                class=nc_texto_negro size=37 type=text 
                                name=txtmaterno /></TD></TR>
                                <TR>
                                <TD height=25 align=right class="do">Sexo</TD>
                                <TD align=left>&nbsp;</TD>
                                <TD align=left><label>M</label>
                                  <input id="sexo2" 
                                value="M" type="radio" name="sexo" />
                                  <label>F</label>
                                  <input id="sexo2" value="F" checked="checked" type="radio" 
                                name="sexo" /></TD></TR>
                                <TR>
                                <TD height=25 align=right class="do">Dirección</TD>
                                <TD align=left>&nbsp;</TD>
                                <TD align=left><input id=txtdireccion 
                                class=nc_texto_negro size=37 type=text 
                                name=txtdireccion /></TD></TR>
                                <TR>
                                <TD width=108 height=25 align=right class="do">Email</TD>
                                <TD width=22 align=left>&nbsp;</TD>
                                <TD width=239 align=left><input id="txtemail" 
                                class="nc_texto_negro" size="37" type="text" 
                                name="txtemail" /></TD></TR>
                                <TR>
                                <TD height=25 align=right>&nbsp;</TD>
                                <TD align=left>&nbsp;</TD>
                                <TD align=left>&nbsp;</TD></TR>
                                <TR>
                                <TD height=25 align=right>&nbsp;</TD>
                                <TD align=left>&nbsp;</TD>
                                <TD align=left>&nbsp;</TD></TR>
                                <TR>
                                <TD height=25 align=right>&nbsp;</TD>
                                <TD align=left>&nbsp;</TD>
                                <TD align=left>&nbsp;</TD></TR>
                                <TR>
                                <TD height=25 align=right>&nbsp;</TD>
                                <TD align=left>&nbsp;</TD>
                                <TD align=left>&nbsp;</TD></TR>
                                <TR>
                                <TD height=25 align=right>&nbsp;</TD>
                                <TD align=left>&nbsp;</TD>
                                <TD align=left>&nbsp;</TD></TR></TBODY></TABLE></TD>
                            <TD vAlign=top width=10 align=middle><IMG alt="" 
                              src="Cineplanet_archivos/pix-promo.jpg" width=3 
                              height=340></TD>
                            <TD vAlign=top width=468>
                              <TABLE class=text_blanco_sta border=0 
                              cellSpacing=0 cellPadding=0 width=446>
                                <TBODY>
                                <TR>
                                <TD width=120 height=25 align=right class="ar">Fecha de 
                                Nacimiento</TD>
                                <TD width=80 align=left>&nbsp;</TD>
                                <TD width=246 align=left><SELECT id=dia 
                                class=nc_texto_negro name=dia> <OPTION selected 
                                value=0>Día</OPTION> <OPTION value=1>1</OPTION> 
                                <OPTION value=2>2</OPTION> <OPTION 
                                value=3>3</OPTION> <OPTION value=4>4</OPTION> 
                                <OPTION value=5>5</OPTION> <OPTION 
                                value=6>6</OPTION> <OPTION value=7>7</OPTION> 
                                <OPTION value=8>8</OPTION> <OPTION 
                                value=9>9</OPTION> <OPTION value=10>10</OPTION> 
                                <OPTION value=11>11</OPTION> <OPTION 
                                value=12>12</OPTION> <OPTION 
                                value=13>13</OPTION> <OPTION 
                                value=14>14</OPTION> <OPTION 
                                value=15>15</OPTION> <OPTION 
                                value=16>16</OPTION> <OPTION 
                                value=17>17</OPTION> <OPTION 
                                value=18>18</OPTION> <OPTION 
                                value=19>19</OPTION> <OPTION 
                                value=20>20</OPTION> <OPTION 
                                value=21>21</OPTION> <OPTION 
                                value=22>22</OPTION> <OPTION 
                                value=23>23</OPTION> <OPTION 
                                value=24>24</OPTION> <OPTION 
                                value=25>25</OPTION> <OPTION 
                                value=26>26</OPTION> <OPTION 
                                value=27>27</OPTION> <OPTION 
                                value=28>28</OPTION> <OPTION 
                                value=29>29</OPTION> <OPTION 
                                value=30>30</OPTION> <OPTION 
                                value=31>31</OPTION></SELECT> <SELECT id=mes 
                                class=nc_texto_negro name=mes> <OPTION selected 
                                value=0>Mes</OPTION> <OPTION 
                                value=01>Enero</OPTION> <OPTION 
                                value=02>Febrero</OPTION> <OPTION 
                                value=03>Marzo</OPTION> <OPTION 
                                value=04>Abril</OPTION> <OPTION 
                                value=05>Mayo</OPTION> <OPTION 
                                value=06>Junio</OPTION> <OPTION 
                                value=07>Julio</OPTION> <OPTION 
                                value=08>Agosto</OPTION> <OPTION 
                                value=09>Septiembre</OPTION> <OPTION 
                                value=10>Octubre</OPTION> <OPTION 
                                value=11>Noviembre</OPTION> <OPTION 
                                value=12>Diciembre</OPTION></SELECT> <SELECT 
                                id=anio class=nc_texto_negro name=anio> <OPTION 
                                selected value=0>Año</OPTION> <OPTION 
                                value=2010>2010</OPTION> <OPTION 
                                value=2009>2009</OPTION> <OPTION 
                                value=2008>2008</OPTION> <OPTION 
                                value=2007>2007</OPTION> <OPTION 
                                value=2006>2006</OPTION> <OPTION 
                                value=2005>2005</OPTION> <OPTION 
                                value=2004>2004</OPTION> <OPTION 
                                value=2003>2003</OPTION> <OPTION 
                                value=2002>2002</OPTION> <OPTION 
                                value=2001>2001</OPTION> <OPTION 
                                value=2000>2000</OPTION> <OPTION 
                                value=1999>1999</OPTION> <OPTION 
                                value=1998>1998</OPTION> <OPTION 
                                value=1997>1997</OPTION> <OPTION 
                                value=1996>1996</OPTION> <OPTION 
                                value=1995>1995</OPTION> <OPTION 
                                value=1994>1994</OPTION> <OPTION 
                                value=1993>1993</OPTION> <OPTION 
                                value=1992>1992</OPTION> <OPTION 
                                value=1991>1991</OPTION> <OPTION 
                                value=1990>1990</OPTION> <OPTION 
                                value=1989>1989</OPTION> <OPTION 
                                value=1988>1988</OPTION> <OPTION 
                                value=1987>1987</OPTION> <OPTION 
                                value=1986>1986</OPTION> <OPTION 
                                value=1985>1985</OPTION> <OPTION 
                                value=1984>1984</OPTION> <OPTION 
                                value=1983>1983</OPTION> <OPTION 
                                value=1982>1982</OPTION> <OPTION 
                                value=1981>1981</OPTION> <OPTION 
                                value=1980>1980</OPTION> <OPTION 
                                value=1979>1979</OPTION> <OPTION 
                                value=1978>1978</OPTION> <OPTION 
                                value=1977>1977</OPTION> <OPTION 
                                value=1976>1976</OPTION> <OPTION 
                                value=1975>1975</OPTION> <OPTION 
                                value=1974>1974</OPTION> <OPTION 
                                value=1973>1973</OPTION> <OPTION 
                                value=1972>1972</OPTION> <OPTION 
                                value=1971>1971</OPTION> <OPTION 
                                value=1970>1970</OPTION> <OPTION 
                                value=1969>1969</OPTION> <OPTION 
                                value=1968>1968</OPTION> <OPTION 
                                value=1967>1967</OPTION> <OPTION 
                                value=1966>1966</OPTION> <OPTION 
                                value=1965>1965</OPTION> <OPTION 
                                value=1964>1964</OPTION> <OPTION 
                                value=1963>1963</OPTION> <OPTION 
                                value=1962>1962</OPTION> <OPTION 
                                value=1961>1961</OPTION> <OPTION 
                                value=1960>1960</OPTION> <OPTION 
                                value=1959>1959</OPTION> <OPTION 
                                value=1958>1958</OPTION> <OPTION 
                                value=1957>1957</OPTION> <OPTION 
                                value=1956>1956</OPTION> <OPTION 
                                value=1955>1955</OPTION> <OPTION 
                                value=1954>1954</OPTION> <OPTION 
                                value=1953>1953</OPTION> <OPTION 
                                value=1952>1952</OPTION> <OPTION 
                                value=1951>1951</OPTION> <OPTION 
                                value=1950>1950</OPTION> <OPTION 
                                value=1949>1949</OPTION> <OPTION 
                                value=1948>1948</OPTION> <OPTION 
                                value=1947>1947</OPTION> <OPTION 
                                value=1946>1946</OPTION> <OPTION 
                                value=1945>1945</OPTION> <OPTION 
                                value=1944>1944</OPTION> <OPTION 
                                value=1943>1943</OPTION> <OPTION 
                                value=1942>1942</OPTION> <OPTION 
                                value=1941>1941</OPTION> <OPTION 
                                value=1940>1940</OPTION> <OPTION 
                                value=1939>1939</OPTION> <OPTION 
                                value=1938>1938</OPTION> <OPTION 
                                value=1937>1937</OPTION> <OPTION 
                                value=1936>1936</OPTION> <OPTION 
                                value=1935>1935</OPTION> <OPTION 
                                value=1934>1934</OPTION> <OPTION 
                                value=1933>1933</OPTION> <OPTION 
                                value=1932>1932</OPTION> <OPTION 
                                value=1931>1931</OPTION> <OPTION 
                                value=1930>1930</OPTION> <OPTION 
                                value=1929>1929</OPTION> <OPTION 
                                value=1928>1928</OPTION> <OPTION 
                                value=1927>1927</OPTION> <OPTION 
                                value=1926>1926</OPTION> <OPTION 
                                value=1925>1925</OPTION> <OPTION 
                                value=1924>1924</OPTION> <OPTION 
                                value=1923>1923</OPTION> <OPTION 
                                value=1922>1922</OPTION> <OPTION 
                                value=1921>1921</OPTION></SELECT></TD></TR>
                                <TR>
                                <TD height=25 align=right class="ar">Teléfono</TD>
                                <TD align=left>&nbsp;</TD>
                                <TD align=left><INPUT id=txttelefono 
                                class=nc_texto_negro size=37 type=text 
                                name=txttelefono></TD></TR>
                                <TR>
                                <TD height=25 align=right class="ar">Celular</TD>
                                <TD align=left>&nbsp;</TD>
                                <TD align=left><INPUT id=txtcelular 
                                class=nc_texto_negro size=37 type=text 
                                name=txtcelular></TD></TR>
                                <TR>
                                <TD height=25 align=right class="ar">Estado Civil</TD>
                                <TD align=left>&nbsp;</TD>
                                <TD align=left><SELECT id=cboecivil 
                                class=nc_texto_negro name=cboecivil> <OPTION 
                                selected value=0>Seleccionar</OPTION> <OPTION 
                                value=S>Soltero</OPTION> <OPTION 
                                value=C>Casado</OPTION> <OPTION 
                                value=D>Divorciado</OPTION></SELECT></TD></TR>
                                <TR>
                                <TD height=25 align=right class="ar"><span class="s">¿Qué género de 
                                película te gusta</span>?</TD>
                                <TD align=left>&nbsp;</TD>
                                <TD align=left>
                                <TABLE border=0 cellSpacing=0 cellPadding=6>
                                <TBODY>
                                <TR>
                                <TD class="ar"><INPUT id=checkbox1 value=Ficcion 
                                type=checkbox name=checkbox1> Ficción</TD>
                                <TD class="ar"><INPUT id=checkbox2 value=Comedia 
                                type=checkbox name=checkbox2> Comedia</TD>
                                <TD rowSpan=5>(*)</TD></TR>
                                <TR class="ar">
                                <TD><INPUT id=checkbox3 value=Romantica 
                                type=checkbox name=checkbox3> Romántica</TD>
                                <TD><INPUT id=checkbox4 value=Suspenso 
                                type=checkbox name=checkbox4> Suspenso</TD></TR>
                                <TR class="ar">
                                <TD><INPUT id=checkbox5 value=Drama 
                                type=checkbox name=checkbox5> Drama</TD>
                                <TD><INPUT id=checkbox6 value=Terror 
                                type=checkbox name=checkbox6> Terror</TD></TR>
                                <TR class="ar">
                                <TD><INPUT id=checkbox7 value=Animado 
                                type=checkbox name=checkbox7> Animado</TD>
                                <TD><INPUT id=checkbox8 value=Accion 
                                type=checkbox name=checkbox8> Acción</TD></TR>
                                <TR class="ar">
                                <TD><INPUT id=checkbox9 value=Aventuras 
                                type=checkbox name=checkbox9> Aventuras</TD>
                                <TD><INPUT id=checkbox10 value=Policiales 
                                type=checkbox name=checkbox10> 
                                Policiales</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE><BR>
                              <CENTER>
                                <p class="ctxt_blanco"><span class="ar">(*) Por lo menos 
                                  debes seleccionar un género de 
                                  película.</span></p>
                                <img src="images/enviar_off.jpg" width="77" height="18" />
                              </CENTER></TD></TR></TBODY></TABLE></td>
      </tr>
    </table>
 <!-- InstanceEndEditable --></td></tr>
   <tr>
    <td class="linea_inferior"><p>©2011 CineNeptuno S.A - Todos los derechos reservados</p></td>
  </tr>
</table>
</body>
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